About this trial
This is a randomized, double-blind, placebo-controlled, parallel-group, Phase 4, 3-group study to assess whether treatment with sarilumab at either 150 mg q2w (once every two weeks) or at 200 mg q2w, each given with a 52-week prednisone taper, is superior to placebo given with a 52-week prednisone taper in participants with early polymyalgia rheumatica (PMR) and to determine the safety and tolerability of the sarilumab regimens.
The study will consist of the following visits:
Visit 1 (D-42 to D-1): Screening, Visit 2 (D1): Baseline, randomization, first study drug administration, Visit 3 to 12 (Week 2 to Week 52): Treatment period, Visit 13 (Week 52): End of Treatment (EOT) visit, Visit 14 (Week 58): End of Study (EOS) visit.
Eligibility criteria
Qualifiers
Adults ≥50 years with polymyalgia rheumatica according to the EULAR/ACR classification criteria
Meet criteria for newly diagnosed PMR (received ≤6 weeks of corticosteroids prior to randomization) or for early relapsing PMR (initiated corticosteroid treatment within last year, treated with prednisone ≥10 mg/day for ≥ 8 weeks, and experienced flare within prior 12 weeks while receiving ≥5 mg/d prednisone)
Participants must be willing and able to take prednisone of 15 mg/day at randomization
Contraceptive use by men and women should be consistent with local regulations regarding the methods of contraception for those participating in clinical studies
Disqualifiers
Diagnosis of Giant Cell Arteritis (GCA)
Concurrent rheumatoid arthritis, inflammatory arthritis, connective tissue diseases, fibromyalgia
Inadequately treated hypothyroidism
Exclusion related to tuberculosis (TB), invasive opportunistic infections, recurrent or persistent infections including hepatitis B, C or HIV, recurrent herpes zoster or active herpes zoster
Trial design
Treatments tested in this trial
- Sarilumab
- Sarilumab
- Placebo
Treatment groups
Sponsors and collaborators
Sanofi
Lead sponsor
Regeneron Pharmaceuticals
Collaborator